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General NPI Number Information
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NPI Number | 1548066426
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Entity Type | Individual
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Provider Name | ANDREW RAY MELENDEZ
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Gender | Male
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 10291 N MERIDIAN ST STE 250
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City | CARMEL
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State | IN
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Zip | 46290-0002
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Country | US
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Telephone | 317-755-6321
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Fax |
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Provider Business Mailing Address
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Address Line | 9679 W QUARTER MOON DR
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City | PENDLETON
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State | IN
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Zip | 46064-9464
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Country | US
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Telephone | 765-617-2889
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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